“…The complex issues include determining patient selection criteria (Butler, Clarke, & Hettiaratchy, 2005;Pushpakumar et al, 2010), refining donor tissue procurement techniques (Meninguad, Paraskevas, Ingallina, Bouhana, & Lantieri, 2008;Pushpakumar et al, 2010), predicting expected functional outcomes (Landin, Cavadas, Gonzalez, Rodriguez, & Caballero, 2008;Pushpakumar et al, 2010), appreciating the limitations of obtaining a fully informed consent for an innovative procedure (Hurlburt, 2007;King, 2002;Reitsma & Moreno, 2006;Renshaw, Clarke, Diver, Ashcroft, & Butler, 2006), and deliberating the immunological response and postoperative immunosuppressant requirements of the recipient (Petit, Paraskevas, Minnus, Lee, & Lantieri, 2004;Pomahac, Aflaki, Chandraker, & Pribaz, 2008;Swearingen et al, 2008;). In addition, psychological implications for the patient (Clarke & Butler, 2009;Morris et al, 2007;Swindell, 2006), societal consequences Kalliainen, 2010), and ethical concerns (Hurlburt, 2007;O'Neill & Godden, 2009;Renshaw et al, 2006) were identified.…”